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Jurnal Oftalmologi Indonesia

ISSN 1693-2587

Vol. 7 / No. 4 / Published : 2010-12

TOC : 10, and page :171 - 174

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Original Article :

Bilateral optic neuritis in children due to multiple sclerosis

Author :

      Abstract :

      A rare case of bilateral optic neuritis in 10 years old boy due to Multiple Sclerosis. A 10 years old boy suffered from sudden blurredvision on both eyes since 3 days before hospitalized. He also complained of acute periodically headache and pain on eye movementto all gaze. Visual acuity was one meter finger counting on both eyes. The eyes also have nystagmus. Pupillary examination showedbilateral midriatic pupil, decrease of direct light reflex, negative consensual light reflex, and negative RAPD. Fundal examinationrevealed bilateral optic disc swelling with splinter haemorrhage. Humphrey examination showed central scotoma on both eyes due tooptic neuritis. MRI showed an active plaque lies below left thalamus suggest to Multiple Sclerosis lesion and thickening of both opticnerves which suggest to retrobulbar optic neuritis. Intravenous high dose methyl prednisolone was given immediately after consultingto neurologic and pediatric department. After one day of therapy, the patient's headache and pain on eye movement dissapeared. Therewas improvement on visual acuity. After 7 days of therapy, intravenous corticosteroid was stopped. Visual acuity became 6/6 on theright eye and 6/30 on the left eye. There was also decreasing of optic disc swelling. After 2 weeks, left eye visual acuity became 6/6.Bilateral optic neuritis could be one of Multiple Sclerosis signs especially in children. Treatment with intravenous methyl prednisoloneshould be considered in patient with acute optic neuritis because this treatment can lead to rapid recovery of visual function and othercomplaint. Further ophthalmology and neurology observation need to evaluate clinical relapsing-remitting Multiple Sclerosis.

      Keyword :

      optic neuritis, Multiple Sclerosis, children,


      References :



           


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        9. Bilateral optic neuritis in children due to multiple sclerosis
        10. Bilateral Optic Neuritis In Children Due To Multiple Sclerosis